Charles Kenneth Dematte in Bridgeport - General Practice
Charles Kenneth Dematte - NPI 1578601498
Charles Kenneth Dematte is a General Practice in Bridgeport, Ohio. Charles Kenneth Dematte practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Kenneth Dematte is 1578601498. The last update date is 2007-07-08.
Charles Kenneth Dematte's current location address is 334 Main Street, Bridgeport, Ohio. You can contact this provider via phone number 7406352567 and fax number 7406351976. The mailing address for Charles Kenneth Dematte is 334 Main Street, Bridgeport, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Kenneth Dematte |
|---|---|
| Address | 334 Main Street, Bridgeport, Ohio |
| Phone Number | 7406352567 |
| Fax Number | 7406351976 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578601498 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 334 Main Street |
|---|---|
| City | Bridgeport |
| State | Ohio (OH) |
| Post Code | 43912 |
| Phone Number | 7406352567 |
| Fax Number | 7406351976 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15334 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 604019 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles Kenneth Dematte by the Centers for Medicare & Medicaid Services?
The Charles Kenneth Dematte has been issued the NPI (National Provider Identifier) 1578601498, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Charles Kenneth Dematte's facilities are situated?
The facilities of Charles Kenneth Dematte are physically located at the following address: 334 Main Street, Bridgeport, OH, 43912.
What is the Charles Kenneth Dematte's specialty and taxonomy code?
The Charles Kenneth Dematte's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Charles Kenneth Dematte receive its 1578601498 assignment?
The Charles Kenneth Dematte was assigned its 1578601498 on 2007-02-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Charles Kenneth Dematte, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles Kenneth Dematte, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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